Biohealth Diagnostic Laboratory

NPI 1063656809 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1063656809
Enumeration Date 04/23/2009
Last Updated 04/23/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MARK T MARK
Position LABORATORY DIRECTOR
Phone (310) 828-1506
Fax (310) 828-0757
Practice Location
2216 SANTA MONICA BLVD
SUITE 102
SANTA MONICA CA, 90404-2309, US
Phone (310) 828-1506
Fax (310) 828-0757
Business Location
2216 SANTA MONICA BLVD
SUITE 102
SANTA MONICA CA, 90404-2309, US
Phone (310) 828-1506
Fax (310) 828-0757
Toxanomy
Taxonomy Code 291U00000X
License State California
License Number 05D0982456
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According to our database, Biohealth Diagnostic Laboratory NPI is 1063656809, taxonomy code is 291U00000X and license number is 05D0982456, license state is located at California. Biohealth Diagnostic Laboratory physically located at 2216 Santa Monica Blvd, Santa Monica CA, 90404-2309. NPI Number 1033115704 has the healthcare provider type.

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1063656809 NPI number is provided on an as is basis without warranty of any kind. 1063656809 is maintained by the National Plan & Provider Enumeration System. The contents of Biohealth Diagnostic Laboratory are for informational purposes only.